12D2188239 CLIA NUMBER - CRSCP MAUI, INC

Laboratory Demographics

  • CLIA Code: 12D2188239
  • Facility Name: CRSCP MAUI, INC
  • Facility Address: 33 LONO AVENUE, SUITE 260
    KAHULUI, HI
    ZIP 96732
  • Facility Phone: (808) 735-1935
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN OLKOWSKI
  • NPI Number: 1972058162
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 12D2188239
LAB Type Physician Office
Facility Name CRSCP MAUI, INC
Street 33 LONO AVENUE, SUITE 260
City KAHULUI
State HI
ZIP 96732
Phone 8087351935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Physician Office
Lab Director JOHN OLKOWSKI

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This page was last updated on: 5/18/2026